| Mimbres Valley Medical Group | |
|
905 S 8th St Ste B Deming NM 88030-4037 | |
| (575) 543-7200 | |
| (575) 543-7250 |
| Full Name | Mimbres Valley Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 S 8th St Ste B, Deming, New Mexico |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimbres Valley Medical Group Po Box 19072 Belfast ME 04915-4085 Ph: (575) 543-7200 | Mimbres Valley Medical Group 905 S 8th St Ste B Deming NM 88030-4037 Ph: (575) 543-7200 |
| NPI Number | 1134526221 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 4981599206 |
|---|---|
| Medicare Enrollment ID | O20040217000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134526221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 6552 (New Mexico) | Primary |
| Provider Name | Stanislav Belyaev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659368207 PECOS PAC ID: 3274500129 Enrollment ID: I20040911000029 |
| Provider Name | Michael R Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511663 PECOS PAC ID: 1951363464 Enrollment ID: I20041027001094 |
| Provider Name | Hasan Adnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063490175 PECOS PAC ID: 0345284550 Enrollment ID: I20050621000270 |
| Provider Name | Scott Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528078938 PECOS PAC ID: 5496799140 Enrollment ID: I20051102000201 |
| Provider Name | Gary S Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811008196 PECOS PAC ID: 1658376959 Enrollment ID: I20070213000165 |
| Provider Name | Jaime Solis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366639882 PECOS PAC ID: 5092870451 Enrollment ID: I20090218000388 |
| Provider Name | George I Lafon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841209954 PECOS PAC ID: 8820112543 Enrollment ID: I20100902000417 |
| Provider Name | Elizabeth Donigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861428344 PECOS PAC ID: 1355348210 Enrollment ID: I20101111001170 |
| Provider Name | David Neil Calkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407966369 PECOS PAC ID: 2163310061 Enrollment ID: I20110914000580 |
| Provider Name | Jose G Hernandez Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598743668 PECOS PAC ID: 1456381599 Enrollment ID: I20120109000969 |
| Provider Name | Victor Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861693947 PECOS PAC ID: 2365534930 Enrollment ID: I20120223000722 |
| Provider Name | Mark D Osmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508183138 PECOS PAC ID: 3072787092 Enrollment ID: I20120430000173 |
| Provider Name | Kathryn K Randall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184636672 PECOS PAC ID: 3577563725 Enrollment ID: I20130606000327 |
| Provider Name | Darwana R Todd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851360655 PECOS PAC ID: 4789645540 Enrollment ID: I20131007000990 |
| Provider Name | Victoria Castaneda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720092018 PECOS PAC ID: 3577720465 Enrollment ID: I20140519001381 |
| Provider Name | Anne Louise Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740281799 PECOS PAC ID: 9335231844 Enrollment ID: I20140910000338 |
| Provider Name | Geronimo Mendoza-urias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356605877 PECOS PAC ID: 2961712310 Enrollment ID: I20151114000069 |
| Provider Name | Kristin N Thornsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066603 PECOS PAC ID: 3072816073 Enrollment ID: I20160126001092 |
| Provider Name | Angela Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710234315 PECOS PAC ID: 5597062364 Enrollment ID: I20160322000576 |
| Provider Name | Lincoln T Shenje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700031382 PECOS PAC ID: 7517107006 Enrollment ID: I20170605002168 |
| Provider Name | Gens Pierce Goodman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831496983 PECOS PAC ID: 5496973430 Enrollment ID: I20170726001677 |
| Provider Name | Kelly Kilcoyne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467650077 PECOS PAC ID: 9436330073 Enrollment ID: I20170727001430 |
| Provider Name | Shailen Mhapsekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558652149 PECOS PAC ID: 2264659788 Enrollment ID: I20170816002396 |
| Provider Name | Michael Boyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831189695 PECOS PAC ID: 7719878131 Enrollment ID: I20171010001177 |
| Provider Name | Sarah Patricia Summers-barrio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154829570 PECOS PAC ID: 0840552279 Enrollment ID: I20180326000091 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20180731003465 |
| Provider Name | Michael Parrino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215900766 PECOS PAC ID: 0547317547 Enrollment ID: I20190515002476 |
| Provider Name | Marina Fedotowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942748017 PECOS PAC ID: 8628339983 Enrollment ID: I20190521001687 |
| Provider Name | William Arroyo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053608216 PECOS PAC ID: 7618262650 Enrollment ID: I20190731000467 |
| Provider Name | Betti Ressler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982817664 PECOS PAC ID: 2769748839 Enrollment ID: I20190918002722 |
| Provider Name | Scott Furer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295197218 PECOS PAC ID: 7315275583 Enrollment ID: I20191203000301 |
| Provider Name | Jason J Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396130571 PECOS PAC ID: 6608181995 Enrollment ID: I20200609002087 |
| Provider Name | Jose Sanchez Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336649938 PECOS PAC ID: 0143659771 Enrollment ID: I20200612002089 |
| Provider Name | Trevor Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780116392 PECOS PAC ID: 0840609038 Enrollment ID: I20210505000611 |
| Provider Name | Chinwendu A Ileka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306332895 PECOS PAC ID: 9638581754 Enrollment ID: I20210614002981 |
| Provider Name | Thomas Allen Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427708775 PECOS PAC ID: 6608253695 Enrollment ID: I20220512001561 |
| Provider Name | Katherine Melissa Perales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538866496 PECOS PAC ID: 9133594377 Enrollment ID: I20230331001371 |
| Provider Name | Jessica Lorraine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952813487 PECOS PAC ID: 1759746100 Enrollment ID: I20230508002082 |
| Provider Name | Jurido Olukunle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437772217 PECOS PAC ID: 8921452186 Enrollment ID: I20230922000165 |
Mimbres Health Maintenance Associates P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 W Florida St, Deming, NM 88030 Phone: 505-544-2800 Fax: 505-544-2801 | |
Mimbres Internal Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 S Gold Ave, Suite 3, Deming, NM 88030 Phone: 575-544-7280 Fax: 575-544-7281 | |
Ben Archer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 S Iron St, Deming, NM 88030 Phone: 575-543-1017 Fax: 575-544-0115 | |
Deming Clinic Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 S 8th St Ste A, Deming, NM 88030 Phone: 575-543-7200 | |
Ben Archer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Chaparrel Blvd Nw, Deming, NM 88030 Phone: 575-546-4800 Fax: 575-546-0685 | |
Deming Bh Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Hickory St, Deming, NM 88030 Phone: 505-820-3466 Fax: 505-992-4990 |